(Dyspepsia; Non-ulcer Dyspepsia; Non-ulcer Stomach Pain)
|Locations of Indigestion Symptoms|
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- Eating too quickly or at irregular intervals
- Eating greasy, high-fat, or spicy foods
- Drinking caffeine, alcohol, or soft drinks in excess
- Taking nonsteroidal anti-inflammatory drugs (eg, aspirin , ibuprofen )
- Psychological stress
- Pain or burning sensation in the upper abdomen or chest
- Abdominal bloating
- Belching or regurgitation
When Should I Call My Doctor?
- Having trouble swallowing
- Vomiting with most episodes
- Experiencing weight loss
- Being aged 55 or older
- Having a family history of cancer
When Should I Call for Medical Help Immediately?
- Severe abdominal pain
- Blood in your stool or dark black stool
- Blood in the vomit
- Trouble breathing
- Chest pain
- Laboratory blood work
- Barium x-ray —a chalky solution is used to highlight the upper digestive tract in an x-ray
- Ultrasound —high-frequency sound waves a used to view and examine the organs of the abdominal cavity
- Endoscopy—a long, thin tube affixed with a light and camera is inserted into the throat to examine the lining of the esophagus, stomach, and upper part of the small intestine
- Gastric emptying study—food containing a small amount of radioactive material is tracked to help determine the rate at which the stomach empties of food
Dietary and Lifestyle Changes
- Reduce your intake of fatty and spicy foods.
- Eat smaller meals throughout the day (instead of three large meals).
- Reduce your intake of alcohol, caffeine, and carbonated beverages.
- If you smoke, quit .
- Avoid nonsteroidal anti-inflammatory drugs (NSAIDs).
- If stress is related to your symptoms, find ways to manage stress.
- Lose weight if you are overweight.
- Exercise regularly .
- Antacids (eg, Rolaids , Maalox Advanced Regular Strength, Mylanta)—to help neutralize stomach acid
- Acid suppression agents (eg Zantac , Pepcid , or Prilosec )
- Prokinetic agents—to help the stomach empty its contents more quickly
- Antidepressants—to treat the pain associated with indigestion
- Antibiotics—to treat a bacterial infection ( Helicobacter pylori ) (only used if tests confirm that you have this infection)
- Avoid overeating.
- Eat slowly and regularly.
- Avoid greasy, high-fat foods.
- Limit spicy foods.
- Do not smoke.
- Drink coffee, alcohol, and caffeinated beverages in moderation.
- Maintain a healthy weight.
- Exercise regularly.
- Practice relaxation techniques .
The American College of Gastroenterology http://www.acg.gi.org/
American Gastroenterological Association http://www.gastro.org/
The Canadian Association of Gastroenterology http://www.cag-acg.org/
The College of Family Physicians of Canada http://www.cfpc.ca/
Dyspepsia: treatment. Family Doctor.org website. Available at: http://familydoctor.org/familydoctor/en/diseases-conditions/dyspepsia/treatment.html . Updated November 2010. Accessed January 17, 2012.
Functional dyspepsia. University of North Carolina School of Medicine website. Available at: http://www.med.unc.edu/wrkunits/2depts/medicine/fgidc/collateral/functional%5Fdyspepsia%5F06132005.pdf#search=%22dyspepsia%22 .
Functional dyspepsia (non-ulcer dyspepsia). The Merck Manual website. Available at: http://www.merck.com/mrkshared/mmanual/section3/chapter21/21c.jsp .
Karamanolis G, Caenepeel P, Arts J, Tack J. Association of the predominant symptom with clinical characteristics and pathophysiological mechanisms in functional dyspepsia. Gastroenterology . 2006; 130:296
Indigestion: lifestyle and home remedies. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/indigestion/DS01141/DSECTION=lifestyle-and-home-remedies . Updated April 29, 2011. Accessed January 17, 2012.
Mertz H, Fullerton S, Naliboff B, Mayer EA. Symptoms and visceral perception in severe functional organic dyspepsia. Gut. 1998; 42:814.
Non-ulcer stomach pain. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/stomach-pain/DS00524 .
Tack J, Talley NJ, Camilleri M, et al. Functional gastroduodenal disorders. Gastroenterology . 2006; 130:466
3/1/2010 DynaMed's Systematic Literature Surveillance DynaMed's Systematic Literature Surveillance : Maalox Total Relief and Maalox liquid products: medication use errors. US Food and Drug Administration website. Available at: http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm200672.htm . Published February 17, 2010. Accessed March 2, 2010.
- Reviewer: Daus Mahnke, MD
- Review Date: 09/2012 -
- Update Date: 00/91/2012 -